title: Molecular assessment of p53 abnormalities at the invasive front of oral squamous cell carcinomas.
abstract: BACKGROUND
  The prognostic significance of the invasive tumor front in squamous cell carcinomas has recently been recognized. The aim of the present study was to investigate possible molecular mechanisms underlying the significance of this area in oral squamous cell carcinomas.
  
  
  METHODS
  We used immunohistochemical and molecular genetic techniques to investigate whether p53 alterations at the invasive tumor front could determine the aggressiveness of oral cancers.
  
  
  RESULTS
  p53 Overexpression was detected in 52% to 56% (four different p53 antibodies) of 100 carcinomas studied. The concordance rate between results of immunohistochemistry and genetic analysis was 60%. No correlation was found between p53 status of the tumors and clinicopathologic parameters analyzed statistically.
  
  
  CONCLUSIONS
  p53 Alterations have no prognostic impact in oral squamous cell carcinomas and apparently do not represent a molecular basis for the biologic significance of the invasive tumor front. The detection of discordant p53 aberrations between primary and second primary carcinomas in some patients provide evidence for their independent origin, with possible impact on prevention and therapy.
authors.affiliation: Department of Maxillo-Facial Surgery, University of Münster, Münster/Westfalia, Germany.
authors.forename: J
authors.initials: J
authors.lastname: Piffkò
authors.forename: A
authors.initials: A
authors.lastname: Bànkfalvi
authors.forename: K
authors.initials: K
authors.lastname: Tory
authors.forename: L
authors.initials: L
authors.lastname: Füzesi
authors.forename: M
authors.initials: M
authors.lastname: Bryne
authors.forename: D
authors.initials: D
authors.lastname: Ofner
authors.forename: F
authors.initials: F
authors.lastname: Kusch
authors.forename: U
authors.initials: U
authors.lastname: Joos
authors.forename: K W
authors.initials: KW
authors.lastname: Schmid
mesh_terms: D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D002294:Carcinoma, Squamous Cell / Q000235:genetics* / Q000401:mortality / Q000473:pathology*; D016009:Chi-Square Distribution; D018572:Disease-Free Survival; D005260:Female; D015972:Gene Expression Regulation, Neoplastic; D016158:Genes, p53 / Q000235:genetics*; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000235:genetics* / Q000401:mortality / Q000473:pathology*; D009154:Mutation; D009361:Neoplasm Invasiveness; D016133:Polymerase Chain Reaction; D011379:Prognosis; D012680:Sensitivity and Specificity; D015996:Survival Rate